NPI | 1588194435 |
---|---|
Other Name | CHRISTINE MARIE RENKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704291990) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MI 4704291990) |
Enumeration Date | 2017-06-14 |
Last Update Date | 2022-04-14 |